Table of contents
Content

1. Introduction (Helmchen/Sartorius)

2. Context
2.1 Societal framework of psychiatry (Helmchen/Sartorius)
2.1.1 Stigmatisation of people with mental illness and of psychiatric institutions (Mehta/Thornicroft)
2.2 Normative framework of dealing with the mentally ill
2.2.1 Between legislation and bioethics: The European Convention on Human Rights and Biomedicine (Callard)
2.2.2 Ethical principles in psychiatry: the Declarations of Hawaii and Madrid (Steenfeldt-Foss)
2.2.3 Ethics committees
2.2.3.1 Ethics committees for clinical research: the West-European paradigm (Doppelfeld)
2.2.3.2 Clinical ethics committees and ethics consultation in psychiatry (Voll-mann)
2.3 Economical framework of psychiatric care (van der Feltz-Cornelis)
2.4 Conflicts of interest (Fava)

3. Principles of ethics in medicine
3.1 Informed consent in psychiatric practice (Helmchen)
3.2 Advance directives: balancing patient's self-determination with profes-sional paternalism (Sass/May)
3.3 Confidentiality (McClelland)
3.4 Justice in access to and distribution of resources in psychiatry and mental health care (ter Meulen)

4. Applications
4.1 Psychiatric research
4.1.1 Ethical concerns in carrying surveys of psychiatric morbidity (Melt-zer/Brugha)
4.1.2 Genetics ethical implications of research, diagnostics and counseling (Propping)
4.1.3 Ethics of research with decisionally impaired patients (Maio)
4.2 Clinical practice
4.2.1 Diagnosis and assessment
4.2.1.1 The ethics of diagnosis and classification in psychiatry (Lopez-Ibor/Lopez-Ibor/Helmchen)
4.2.1.2 Competence assessment (Maeck/Stoppe)
4.2.2 Treatment and provision of care
4.2.2.0 General overview of ethical issues in psychiatric treatment (Helmchen)
4.2.2.1 Prevention and early treatment (Klosterkoetter-Schultze-Lutter)
4.2.2.2 Ethical implications of psychopharmacotherapy (Helmchen)
4.2.2.3 Ethical problems in psychotherapy (Rüger/Reimer)
4.2.2.4 Neuromodulation ECT, rTMS, DBS (Synofzik/Schläpfer)
4.2.2.5 Coercive' measures (Szmukler)
4.2.2.6 Ethics of deinstitutionalisation (Claassen/Priebe)
4.3 Special issues
4.3.1 Treatment of substance dependence (Uchtenhagen)
4.3.2 Ethical issues in forensic and prison psychiatry (Konrad/Völlm)
4.3.3 Dementia and end-of-life decisions: ethical issues a perspective from the Netherlands (Berghmans)

5.Non-medical uses of psychiatry
5.1 Political abuse of psychiatry. Preliminary remark (the editors).
Abuse of psychiatry for political purposes in the USSR: a case-study and personal account of the efforts to bring them to an end (Van Voren)
5.2 (Neuro-)Enhancement (Schöne-Seifert/Talbot)

6.Teaching ethics in psychiatry (Bowman)

7. Conclusions and summary (Sartorius/Helmchen)